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September 2016 - FRMC

Hospital Star Wars: Sounding Off on the New CMS Star Ratings
02/09/2017

Dean Celia

Dean Celia
In an interview last year, Gary Owens, MD, noted that "star ratings work better for restaurants and movies.”
In an interview last year, Gary Owens, MD, noted that "star ratings work better for restaurants and movies.”
In an interview last year, Gary...
02/09/2017
First Report Managed Care
Department
Autoimmune Diseases: Rheumatoid Arthritis and Psoriatic Arthritis
09/16/2016
The First Report Managed Care Trends Report serves as a resource for managed care professionals making management decisions addressing the spectrum of disease states that continue to challenge health care providers.
The First Report Managed Care Trends Report serves as a resource for managed care professionals making management decisions addressing the spectrum of disease states that continue to challenge health care providers.
The First Report Managed Care...
09/16/2016
First Report Managed Care
Department
Featured Speaker: Former White House Health Care Advisor Chris Jennings
09/15/2016
On Tuesday October 4, 2016, Chris Jennings, president of Jennings Policy Strategies, and Mike Leavitt, former Utah Governor and HHS secretary, will discuss the future of health care under the next President of the United States during the...
On Tuesday October 4, 2016, Chris Jennings, president of Jennings Policy Strategies, and Mike Leavitt, former Utah Governor and HHS secretary, will discuss the future of health care under the next President of the United States during the...
On Tuesday October 4, 2016,...
09/15/2016
First Report Managed Care
Department
Meeting Preview: AMCP Nexus 2016
09/15/2016
The upcoming AMCP Nexus 2016 Meeting (October 3-6 at the Gaylord National Hotel & Convention Center in National Harbor, Maryland) will bring together thousands of managed care professionals from all across the United States.
The upcoming AMCP Nexus 2016 Meeting (October 3-6 at the Gaylord National Hotel & Convention Center in National Harbor, Maryland) will bring together thousands of managed care professionals from all across the United States.
The upcoming AMCP Nexus 2016...
09/15/2016
First Report Managed Care
California Bill Falters Amidst Drug Price Transparency Dispute
09/15/2016

Paul Nicolaus

Paul Nicolaus
All eyes are on California’s prescription drug price battle as this heavily contested issue of national importance plays out.
All eyes are on California’s prescription drug price battle as this heavily contested issue of national importance plays out.
All eyes are on California’s...
09/15/2016
First Report Managed Care
Payer Roundtable: Going Beyond Oncology Clinical Pathways
09/15/2016

Dean Celia

Dean Celia
Clinical care pathways have the most traction in cancer management, but that hasn’t stopped some stakeholders from venturing into other areas. Atul Dhir, MD, and Bruce A Feinberg, DO, share their experiences adopting the pathways process to...
Clinical care pathways have the most traction in cancer management, but that hasn’t stopped some stakeholders from venturing into other areas. Atul Dhir, MD, and Bruce A Feinberg, DO, share their experiences adopting the pathways process to...
Clinical care pathways have the...
09/15/2016
First Report Managed Care
Opioid Addiction Treatment: Can Managed Care Make an Impact?
09/15/2016

 Jill Sederstrom

 Jill Sederstrom
As opioid misuse and addiction reach a boiling point in the United States, legislators, providers, and payers are taking steps to prevent abuse and improve treatment.
As opioid misuse and addiction reach a boiling point in the United States, legislators, providers, and payers are taking steps to prevent abuse and improve treatment.
As opioid misuse and addiction...
09/15/2016
First Report Managed Care
Department
Study: Economic Burden of Skin Cancer Increasing in the US
09/15/2016
Recent research presented at the Summer Annual Meeting found that the amount of patients being screened and treated for skin cancer is substantial and increasing.
Recent research presented at the Summer Annual Meeting found that the amount of patients being screened and treated for skin cancer is substantial and increasing.
Recent research presented at the...
09/15/2016
First Report Managed Care
Department
Psoriasis Treatments May Improve Cardiovascular Symptoms
09/15/2016
According to research presented at the 2016 AAD Summer Annual Meeting, treating patients for psoriasis may help to reduce related cardiovascular symptoms by reducing overall inflammation.  
According to research presented at the 2016 AAD Summer Annual Meeting, treating patients for psoriasis may help to reduce related cardiovascular symptoms by reducing overall inflammation.  
According to research presented...
09/15/2016
First Report Managed Care

Department

Formulary Frontlines®
Insulin Therapies: What is Behind the Escalating Cost?
09/15/2016

Eileen Koutnik-Fotopoulos

Eileen Koutnik-Fotopoulos
Understanding the factors driving diabetes treatment costs higher and higher.
Understanding the factors driving diabetes treatment costs higher and higher.
Understanding the factors...
09/15/2016
First Report Managed Care

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FRMC Volume 21, Issue 2

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June 2024
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News
Express Scripts Reports Prescription Drug Spending Slowed in 2016
02/06/2017
The pharmacy benefit manager, Express Scripts, reported that growth in prescription drug spending slowed to less than 4% between 2015 and 2016.
The pharmacy benefit manager, Express Scripts, reported that growth in prescription drug spending slowed to less than 4% between 2015 and 2016.
The pharmacy benefit manager,...
02/06/2017
First Report Managed Care
News
Substantial Economic Burden Associated With Lupus Nephritis 
12/17/2021
Jolynn Tumolo
“The consensus across the 22 studies was that the economic burden of lupus nephritis is substantial,” researchers wrote, “particularly in active or severe disease, or if there is progression to end-stage kidney disease.”
“The consensus across the 22 studies was that the economic burden of lupus nephritis is substantial,” researchers wrote, “particularly in active or severe disease, or if there is progression to end-stage kidney disease.”
“The consensus across the 22...
12/17/2021
First Report Managed Care
Study Identifies Cost of Having a Baby in the United States
04/22/2013

Tori Socha

Tori Socha
There are 3 goals in healthcare: (1) improved care, (2) improved outcomes, and (3) lower costs. Maternity care, which impacts approximately 85% of women during 1 or more episodes of care, provides opportunity for improvements in healthcare...
There are 3 goals in healthcare: (1) improved care, (2) improved outcomes, and (3) lower costs. Maternity care, which impacts approximately 85% of women during 1 or more episodes of care, provides opportunity for improvements in healthcare...
There are 3 goals in healthcare:...
04/22/2013
First Report Managed Care
News
J&J arthritis drug shows promise in mid-stage trial
06/07/2011
06/07/2011
First Report Managed Care
News
Wrinkle in Health Law Vexes Lawmakers’ Aides
07/30/2013
07/30/2013
First Report Managed Care

Video Insights

Hayward
Videos
Evolving Health Care Contact Centers Into Drivers of Value-Based Care
07/31/2024
Discover how health care contact centers can transform into drivers of value-based care through AI, automation, upskilling agents, and rethinking workflows and metrics to improve patient outcomes and population health.
Discover how health care contact centers can transform into drivers of value-based care through AI, automation, upskilling agents, and rethinking workflows and metrics to improve patient outcomes and population health.
Discover how health care contact...
07/31/2024
First Report Managed Care
Lucille Accetta Headshot
Videos
Enhancing Patient Medication Adherence: Insights and Strategies From Asembia 2024
06/11/2024
Lucille Accetta, PharmD, MBA, MSPH, Senior Vice President of CVS Specialty Operations
Key stakeholders in the health care industry gathered to discuss prevalent topics at this year's Asembia annual summit. Medication adherence emerged as one of the most talked-about issues. In a session led by Lucille Accetta, PharmD, MBA,...
Key stakeholders in the health care industry gathered to discuss prevalent topics at this year's Asembia annual summit. Medication adherence emerged as one of the most talked-about issues. In a session led by Lucille Accetta, PharmD, MBA,...
Key stakeholders in the health...
06/11/2024
First Report Managed Care
Melissa Andel, Principal, CommonHealth Solutions, LLC
Videos
Navigating the Impact of the Inflation Reduction Act: Implications for Payers, Patients, and Manufacturers
05/24/2024
Melissa Andel, Principal, CommonHealth Solutions, LLC
Learn about the impacts of the Inflation Reduction Act on payers and patients, highlighting the changes in Medicare benefits and drug coverage coming in 2025 and 2026.
Learn about the impacts of the Inflation Reduction Act on payers and patients, highlighting the changes in Medicare benefits and drug coverage coming in 2025 and 2026.
Learn about the impacts of the...
05/24/2024
First Report Managed Care
Joe DePinto Headshot
Videos
Navigating Payment Models in the CGT Landscape: Insights and Innovations
05/21/2024
Joe DePinto, Head of Cell, Gene, and Advanced Therapies, McKesson
An expert discusses the evolution and challenges of payment models in the cell and gene therapy (CGT) space reviewed during his session at Asembia 2024.
An expert discusses the evolution and challenges of payment models in the cell and gene therapy (CGT) space reviewed during his session at Asembia 2024.
An expert discusses the...
05/21/2024
First Report Managed Care
Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs at AMCP
Videos
Unlocking the Future of Managed Care Pharmacy: A Deep Dive into Federal Legislation and Regulations
05/15/2024
Jennifer L. Mathieu Senior Vice President, Professional and Government Affairs, AMCP
Learn about developments in federal legislation and regulations within the pharmacy landscape shaping the future of managed care in an interview with a session presenter from AMCP 2024.
Learn about developments in federal legislation and regulations within the pharmacy landscape shaping the future of managed care in an interview with a session presenter from AMCP 2024.
Learn about developments in...
05/15/2024
First Report Managed Care
Tejaswi Kompala
Videos
Personalizing Weight Loss Management With GLP-1 Agonists
04/05/2024

Featuring Tejaswi Kompala, MD, head of cardiometabolic clinical strategy, Teladoc 

Featuring Tejaswi Kompala, MD, head o...
Delve into the rising demand for anti-obesity medications, the complexities of obesity management, and the importance of personalized approaches in improving cardiometabolic health in this insightful interview.
Delve into the rising demand for anti-obesity medications, the complexities of obesity management, and the importance of personalized approaches in improving cardiometabolic health in this insightful interview.
Delve into the rising demand for...
04/05/2024
First Report Managed Care
Zaubler Headshot
Videos
Integrating Behavioral Health Services to Reduce ED Visits: Substance Use Disorder and Social Determinants of Health
03/27/2024

Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

Featuring Tom Zaubler, MD, MPH, CMO a...
Join us for the continuation of an engaging two-part series showcasing an expert dedicated to reducing emergency department visits through the integration of behavioral health practices. Dr Zaubler will share invaluable insights into...
Join us for the continuation of an engaging two-part series showcasing an expert dedicated to reducing emergency department visits through the integration of behavioral health practices. Dr Zaubler will share invaluable insights into...
Join us for the continuation of...
03/27/2024
First Report Managed Care
Zaubler Headshot
Videos
Integrating Behavioral Health Services to Reduce ED Visits: Suicide Prevention and Preemptive Primary Care
03/25/2024

Featuring Tom Zaubler, MD, MPH, CMO at NeuroFlow

Featuring Tom Zaubler, MD, MPH, CMO a...
Come join us for the first installment of a captivating two-part series featuring an expert committed to minimizing emergency department visits through the implementation of behavioral health integrations. Dr Zaubler will offer valuable...
Come join us for the first installment of a captivating two-part series featuring an expert committed to minimizing emergency department visits through the implementation of behavioral health integrations. Dr Zaubler will offer valuable...
Come join us for the first...
03/25/2024
First Report Managed Care
Yash Prajapati
Videos
Navigating the Evolution of Digital Solutions in Health Care
02/27/2024

Featuring Yash Prajapati, consultant at ZS Associates 

Featuring Yash Prajapati, consultant ...
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates consultant Yash Prajapati.
Join us in exploring the challenges and opportunities in the development, approval, and integration of digital therapeutic solutions with ZS Associates consultant Yash Prajapati.
Join us in exploring the...
02/27/2024
First Report Managed Care
Mansur Shomali
Videos
Advancements and Challenges in Diabetes Management
02/27/2024

Featuring Mansur Shomali, MD, chief medical officer at Welldoc, endocrinologist at MedStar Health 

Featuring Mansur Shomali, MD, chief m...
Learn about the state of digital therapeutics for disease management such as diabetes care in terms of cost, outcomes, integration, and more with Dr Mansur Shomali, CMO at Welldoc.
Learn about the state of digital therapeutics for disease management such as diabetes care in terms of cost, outcomes, integration, and more with Dr Mansur Shomali, CMO at Welldoc.
Learn about the state of digital...
02/27/2024
First Report Managed Care

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